Individual
DESLEY DIANE WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
9107 BIG BEND BLVD, SAINT LOUIS, MO 63119-3918
(314) 762-1905
(205) 857-7975
Mailing address
9107 BIG BEND BLVD, SAINT LOUIS, MO 63119-3918
(636) 399-4075
(205) 857-7975
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2009008718
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
494164205
—
MO
Enumeration date
03/18/2010
Last updated
04/27/2026
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